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Organization
BELLEZA MED SPA LLC
Active
Organization
BELLEZA MED SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA CHRISTINA PACHECO MD (OWNER)
(505) 897-4433
Entity
Organization
Contact information
Practice address
2469 CORRALES RD STE D, CORRALES, NM 87048-9148
(505) 897-4433
Mailing address
2469 CORRALES RD STE D, CORRALES, NM 87048-9148
(505) 897-4333
(505) 897-3085
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
05/15/2024
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